CX32 - Additional Events
CX Office Based Veins Course:
Monday, 12th April -
Sir Alexander Fleming

This course was a sell-out this year and will be extended to allow more participants to attend. The cours­e will continue to include diagnostic ultrasound testing and live demonstrations, as well as ultrasound guided endovenous procedures, the different phlebectomy techniques, the treatment of telangiectasias and an assessment of follow-up and recurrence.
Course Director:
Ian Franklin, Imperial College, London, United Kingdom
Objectives: All you could possible need to know to set up an office based venous practice including:
Session 1: Diagnostic venous ultrasound
Objectives: Hands on teaching on patients and volunteers to demonstrate ultrasound of the GSV, SSV, perforators, deep veins and common anatomic anomalies
Session 2: Ultrasound guided skills: vein cannulation, catheter tip positioning and tumescent anaesthesia
Objectives: Hands-on teaching on simulators together with demonstration of different anaesthetic pumps, discussion of tumescent anaesthetic mixes and precautions relating to local anaesthetic toxicity
Session 3: Video demonstrations of live cases of EVLT, RFiTT, VNUS and ambulatory phlebectomy
Objectives: Practical training on techniques of ambulatory phlebectomy, percutaneous treatment of perforators, veno-active drugs, mechanisms of thermoablation
Session 4: Foam sclerotherapy
Objectives: Detailed training in the technique of foam sclerotherapy, indications and practical tips together with teaching on how to get the best possible cosmetic results with microsclerotherapy for thread veins
Session 5: Mini-seminars on logistics of setting up an office-based vein practice, choice of techniques and consent documentation

Faculty: Joe Assenheim, Colin Bicknell, Steve Black, Kursat Bozkurt, Andrew Bradbury, Bruce Braithwaite, Eddie Chaloner, Ian Chetter, Ralph Daye, Jonothan Earnshaw, Mary Ellis, JJ Geux, Rick Gibbs, Manj Gohal, Mike Gough, Maher Hamish, Darren Herbert, Markus Javien, Keith Jones, Lowell Kabnick, Jason Koronowski, Richard Koronowski, Patrick Lintott, Ian Loftus, Kieran McBride, Andrew McIrvine, David McLain, Matthew Metcalfe, Vikas Pandey, Barrie Price, Thomas Proebstle, Simina Quereshi, Albert Adrian Ramelet, Ravi Singh Ranger, Hema Rao, Sophie Renton, Alex Rodway, Nina Salooja, Amanda Shepherd, Craig Smith, Philip Coleridge Smith, Steve Tristram, Mike Vasquez, David West, Mark Whiteley, Cees Wittens, Ken Woodburn


CX Innovation Showcase Preliminary Programme
Sunday 11 April 2010 -
Learning Centre 2
The CX Innovation Showcase provides an opportunity for leading clinicians and industry professionals to interact over the development of new technologies in the vascular and endovascular device field.
Chairman: Nick Cheshire, Imperial College, London, United Kingdom
Stephen Greenhalgh, BIBA Medical Ltd., London, United Kingdom
Innovation challenges
Lessons from the US and European Vascular & Endovascular Monitors
Stephen Greenhalgh, BIBA Medical Ltd, London, United Kingdom
Step by step guide to bringing your idea to clinical use?
Peter Hinchliffe, Interventional & Surgical Innovations LLC, New York, United States
Getting started
How easy is it to be a medtech entrepreneur?
Alan Edwards, London, United Kingdom
Is it getting any easier to bring a new device to market?
Stuart Rodger, Vascutek Terumo, Renfrewshire, United Kingdom
Getting protected
What are the top 10 tips in ensuring that your device has its intellectual property protection in place?
Peter Hinchliffe, Interventional & Surgical Innovations LLC, New York, United States
New technology horizons
Researching fully biodegradable synthetic polymer scaffolds for experimental arterial replacement
Beat Walpoth,
Geneva, Switzerland
GERAADA (German Registry for Acute Aortic Dissection type A)
Ernst Weigang, Mainz, Germany
New vascular devices
Clampless vascular surgery: completely atraumatic vascular occlusion during distal bypass
Alun Davies, Imperial College, London, United Kingdom
Universal hemostatic sealant
Nick Cheshire,
Imperial College, London, United Kingdom
New endovascular devices
Overview of drug eluting balloon technology
Gunnar Tepe,
Rosenheim, Germany
Possis paclitaxel coated balloon
Nicolas Diehm,
Berne, Switzerland
Flexible Stenting Solutions
tbc

New EVAR device updates
Nellix Bob Mitchell, Palo Alto, CA, United States
Trivascular
tbc

Aptus
tbc

Aorfix
John Hardman,
Bath, United Kingdom
Powerlink IntuiTrak
Rodney White,
Torrance, CA, USA
Excluder C3
tbc
Zenith LP
Timothy Resch, Malmo, Sweden
New TEVAR device update
Conformable TAG
Peter Taylor,
London, United Kingdom
NBS Plus
Vicente Riambau,
Barcelona, Spain
New venous devices
Endovenous debulking
Hartmut Goertz,
Lingen, Germany
New vascular access devices
Application of spiral laminar flow technology in vascular access grafts
Peter Stonebridge, Dundee, United Kingdom
Circuport device
Ommid Jahrome,
Utrecht, Netherlands
EKOS device
Jean-Paul de Vries,
Nieuwegen, Netherlands
New technology Dragon’s Den
HQS introducer for percutaneous EVAR
Claude Mialhe,
Draguignan, France
Aortic Customise
Alexander de Vries,
Eemnes, Netherlands 
Minilaparotomy for aortic repair
Lidija Erdelez, Zagreb, Croatia
Assessment of Ischemia and Hypoxia in Peripheral tissue
Phil Basham, Bury St. Edmunds, United Kingdom
New biomechanical analysis tools for clinical decisions in AAA disease management
Alexander Hyhlik-Duerr,
Heidelberg, Germany

ilegx @ CX

Monday, 12th April - Pippard Theatre
Join the ilegx faculty to develop a current best approach on how to diagnose and manage leg/foot tissue loss as an interdisciplinary team to optimise patient management.

NEW LINC @ CX

Interventional solutions for patients with critical limb ischaemia
Sunday, 11th April - Learning Centre 1

This is a new one day live course on "Interventional techniques for the treatment of critical limb ischaemia". Live cases will be broadcast from Park Hospital/Heart Center, University of Leipzig, Leipzig, Germany.
Part 1: The challenge of chronic total occlusions in peripheral arteries
Chairman: Giancarlo Biamino, Cotignola, Italy
Marc Bosiers,
Dendermonde, Belgium
09.00-09.30
Live Case Transmission
09.30-09.40
Crossing techniques for complex aortoiliac and femoropopliteal occlusions

Barry Katzen, Miami, FL, United States
09.40-10.30
Live Case Transmission
10.30-10.40
Stenting the superficial femoral artery: Current strategies and devices selection

Erich Minar, Vienna, Austria
10.40-10.50
Interventional treatment of the popliteal segment: Still the "no-stent-area"?

Thomas Zeller, Bad Krozingen, Germany
10.50-11.40
Live Case Transmission
11.40-11.50
Drug eluting balloon vs. Drug eluting stent: When to use which technology?

Gunnar Tepe, Rosenheim, Germany
11.50-12.30
Live Case Transmission
Part 2: Innovative techniques for Below-the-knee angioplasty
Chairman:
Dierk Scheinert, Liepzig, Germany Iris Baumgartner, Berne, Switzerland
14.30-15.00
Live Case Transmission
15.00-15.10
Basic armamentarium and approaches for complex below-the-knee disease

Marco Manzi, Abano Terme, Italy
15.10-16.00
Live Case Transmission
16.00-16.10
The retrograde approach for femoropopliteal and tibial occlusions in critical limb ischaemia

Andrej Schmidt, Leipzig, Germany (Via Satellite)
16.10-16.20
Tibial artery stenting: Indications and differential use of drug eluting stent vs. bare-metal stents

Marc Bosiers, Dendermonde, Belgium
16.20-17.10
Live Case Transmission
17.10-17.20
Improving the durability of endovascular revascularization: The role of drug-elution

Iris Baumgartner, Berne, Switzerland
17.20-18.00
Live Case Transmission

CX Vascular Revision Course
Saturday 10th April 2010 -
Learning Centre 1
Around 100 vascular surgeons attended this training day that included both a revision course sponsored by Vascutek and hands-on endovascular training provided this year in the CX Training Village.
Programme Director: Alun Davis, Imperial College, London, United Kingdom
Chairman: Saraj Das, London, United Kingdom

10.00-10.30
Statistics

Louise Brown,
 Imperial College, London, UK
10.30-11.00
Ultrasound imaging

Mary Ellis,
Imperial College, London, UK
11.00-11.30
Epidemiology and medical therapy
Janet Powell, Imperial College, London, UK
11.30-12.00
Endovascular - wires and catheters
Nick Burfitt, Imperial College, London, UK
12.00-12.30
Anaesthetic issues
Paul Gunning, Imperial College, London, UK
12.30-13.30
LUNCH - in the learning Centre

Chairman:
Ian Franklin,
Imperial College, London, UK
13.30-14.00
Lower Limb ischaemia cases

Louis Fligelstone,
Swansea, UK
14.00-14.15
Lower limb evidence

Gerard Stansby,
 Newcastle, UK
14.15-14.45
Venous disease cases

David Berridge,
 Leeds, UK
14.45-15.00
Venous evidence
Jonathan Earnshaw, Gloucester, UK
15.00-15.30
Renal access cases

Domenico Valenti,
 London, UK
15.30-16.00
TEA

16.00-16.15
Evidence for renal access

Eric Chemla,
 London, UK
16.15-16.45
Aortic cases

Matt Thompson,
London, UK
16.45-17.00
Evidence for aortic cases
Peter Taylor, London, UK
17.00-17.30
Carotid cases

Michael Gough,
Leeds, UK
17.30-17.45
Carotid evidence

Ross Naylor,
 Leicester, UK

CX Complex Case Review

Saturday, 10th April -
Tuesday, 13th April - Pippard Theatre

This course will review a series of complex cases in peripheral intervention including carotid stenting, TEVAR, EVAR, SFA and below the knee interventions.

CX EVEREST Simulation course
Saturday, 10th April - Learning Centre 3
A co-operation between CX and the Europe Virtual reality Endovascular RESearch Team.
This course brings together experts from around the world to examine the role of simulation in providing hands-on vascular surgical and endovascular training with practical training sessions on PROcedure rehearsal, thoracic and abdominal aortic aneurysm repair and endovascular robotics.
Panel:
Rajesh Aggarwal, Imperial College, London, United Kingdom
Nick Cheshire, Imperial College, London, United Kingdom
Mario Lachat, Zurich, Switzerland
Peter Gaines, Sheffield, UK
Part I:
lunchtime symposium Saturday in Learning Centre 3

1. Introduction
Frank Veith, New York, NY, United Kingdom
2. Training and maintaining open surgical skills
Dittmar Böckler, Heidelberg Germany
3. Skills and simulation - setting up a training programme
Isabelle Van Herzeele, Gent, Belgium
4. Human factors training
Christoph Ammann, tbc
5. Importance of simulation for planning endovascular interventions
Willem Willaert, Imperial College, London, United Kingdom
6. Potential role of simulation for training and credentialing of future endovascular therapists.
Jonathan Beard, Sheffield, UK
7. Remarks from the floor -
Peter Gaines, Sheffield, UK and Frank Vermassen, Gent, Belgium
8. Discussion
Part II:  
hands-on sessions.

1. Endovascular treatment of infrarenal abdominal aortic aneurysms, thoracic aneurysms and dissections using VR simulators.
2. Open surgical skills training
3. Peripheral interventions using VR simulators

NEW CX St George's Vascular Access Course

Monday, 12th April
Course Director: Eric Chemla, London, United Kingdom
The 5th International St George's Vascular Access Meeting - under the management of the Vascular Access Society will now take place at the Charing Cross symposium. The main topic is “Vascular Access Revision or Rescue: Endovascular or Surgical?”.

09.00
Introduction
Eric Chemla, London, United Kingdom
09.05-09.10
Welcome address by President of the Vascular Access Society
Patrick Haage, Wuppertal, Germany
09.10-09.35
Vascular Access Rescue: The Magnitude of the Problem
Chris Gibbons, Swansea, United Kingdom
09.35-10.00
Rescuing Vascular Access: Surgery or Endovascular: Is there a molecular and pharmacological background?
Prabir Roy Chaudhury, Cincinnati, OH, United States
10.00-10.25
Coffee, Exhibition & Posters
10.25-10.50
Native AVFs and Grafts Rescues: Surgery when and how? The St George's experience.

Eric Chemla,
London, United Kingdom
10.50-11.10
Native AVFs and Grafts Rescues: Endovascular when and how? The Southwestern Medical Center, Dallas, Texas
Bart Dolmatch, Dallas, TX, United States
11.10-11.40
New and Upcoming Innovations in Dialysis Treatment
Eric Peden, Dallas, TX United States
11.40-12.40
Scientific Session - Oral Presentations
ABSTRACT PRESENTERS

12.40-13.40
Lunch, Exhibition & Posters
13.40-15.00
Parallel Session 1:
- Abandoning or rescuing vascular access sites. Rescue of infected bypass grafts . To remove or not to remove that is the question?
Ulf Hedin, Stockholm, Sweden
Mohamed Morsy, London, United Kingdom
- Central venous obstruction or stenosis: The Surgical options
Alun Davies, Imperial College, London, United Kingdom
- Central Venous obstruction or stenosis: The Endovascular options.
Graham Munneke, London, United Kingdom
13.40-15.00
Parallel Session 2 - (Nurses, Technicians, Specialist session, Learning Centre 2):
- Proper use of Vascular Access. The role of the Nurse Educator
Josie Murphy, London, United Kingdom
- Complications of Femoral Access for Dialysis
Jasper Chau, London, United Kingdom
Michaela Mayhew, London, United Kingdom
- Needling Competency in the dialysis unit
Hazel Malete, London, United Kingdom
- Are specialist nurses deskilling staff nurses?
Annette Davies, London, United Kingdom
- Psychological aspects of vascular access
Celia Egging, tbc
- The ABC of Needling
Sarah Powers, Birmingham, United Kingdom
15.00-15.20
AVF  maturation  and early failure. Tricks of the Trade
Selcuk Baktiroglu, Istanbul Turkey
15.20-15.40
Dialysis Access Treatment  Algorithm: Fistulas Grafts and Catheters

Jan Tordoir, Maastricht, Netherlands
15.40-16.00
Graft Selection for Patient Indication

Markus Kroker,
Bad Hersfeld, Germany
16.00-16.20
Results from Heparin bonded grafts in Dialysis Access
Ingemar Davidson, Dallas, TX, United States
16.20-16.30
Coffee, Tea
16.30-17.10
Debate:
So Endovascular or Surgery. What is your opinion on Access rescue?
Alun Davies, Imperial College, London, United Kingdom VS Bart Dolmatch, Dallas, TX, United States
17.10-17.30
What  did we Learn today? A summary of what we should take home
Eric Chemla, London, United Kingdom

NEW CX Advanced Vascular Access Skills Course

Tuesday, 13th April - This course will run from 9am - 1pm and will be  repeated from 1.30pm - 5.30pm. Maximum 50 participants per session.
Course Director: Domenico Valenti, London, United Kingdom
This inaugural CX advanced vascular access skills course is under the auspices of the Vascular Access Society of Britain & Ireland (VASBI). The aim of this hands on course is to demonstrate practical skills such as clinical examination and duplex scan assessment and how to perform both surgical and endovascular vascular access techniques.

Practical Skills Stations
Station 1
Intiating vascular access
Clinical evaluation of vascular access site
S Choksy
Duplex scan evaluation of vascular access site
B Freedman
Station 2
Surgical techniques: AVF anastomosis
Creation of Radiocephalic and brachio cephalic AVF
N Inston
Creation of graft AVF
F Calder
Management of AVF Steal Syndrome
A Bakran
Management of aneurysmal AVF
D Valenti
Station 3
Endovascular techniques: AVF fistuloplasty
How to perform AVF fistuloplasty
D Huang
How to manage central vein stenosis and occlusion
J Wilkins
Station 4
Endovascular techniques: AVF thrombectomy
How to perform AVF radiological thrombectomy
S Powell
- with Angiojet device
- with Treratola device

NEW CX Surgeons in Training Prize Course


Surgeons in training are invited to submit a case presentation There will be a prize for the best case presentation by surgical trainee

£500 1st prize
£250 2nd prize
£150 3rd prize

PLUS free registration for CX33 in 2011 for all 3!
Email presentations to info@cxsymposium.com
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